<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">
								<label class="col-sm-3 control-label">票号：</label>
								<div class="col-sm-8">
									<input id="tickerNumber" name="tickerNumber" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">	
								<label class="col-sm-3 control-label">票额 ：</label>
								<div class="col-sm-8">
									<input id="tickAmount" name="tickAmount" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">税率：</label>
								<div class="col-sm-8">
			<!--						<input id="taxRate" name="taxRate" class="form-control" type="text">-->
									<select data-placeholder="税率" id="taxRate" name="taxRate" class="form-control chosen-select chosen-select-taxRate" tabindex="2" required>
										<option value="">税率</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">不含税价：</label>
								<div class="col-sm-8">
									<input id="excTaxAmount" name="excTaxAmount" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">采购合同：</label>
								<div class="col-sm-8">
									<select data-placeholder="采购合同" name="purId" class="form-control chosen-select chosen-select-purId" tabindex="2" required>
										<option value="">采购合同</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">供应商：</label>
								<div class="col-sm-8">
									<input id="supplierId" name="supplierId" class="form-control" type="hidden">
									<input id="supplierName" name="supplierName" class="form-control" type="text">
<!--									<select data-placeholder="供应商" name="supplierId" class="form-control chosen-select-supplierId" tabindex="2" required>-->
<!--										<option value="">供应商</option>-->
<!--									</select>-->
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">收票时间：</label>
								<div class="col-sm-8">
									<input type="text" class="laydate-icon layer-date form-control" id="invoiceTime"
										   name="invoiceTime" placeholder="请选择发票日期"
										   onclick="laydate({istime: true, format: 'YYYY-MM-DD'})" style="background-color: #fff;" readonly="readonly"/>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">收票人：</label>
								<div class="col-sm-8">
									<!--<input id="invoiceUserId" name="invoiceUserId" class="form-control" type="text">-->
									<select data-placeholder="收票人" name="invoiceUserId" class="form-control chosen-select chosen-select-invoiceUserId" tabindex="2" required>
										<option value="">收票人</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/fin/receiptTick/add.js"></script>
	<script type="text/javascript" src="/js/plugins/cropper/cropper.min.js"></script>
	<script type="text/javascript" src="/js/plugins/layer/laydate/laydate.js" ></script>
	<script type="text/javascript" src="/js/plugins/distpicker/distpicker.data.min.js"></script>
	<script type="text/javascript" src="/js/plugins/distpicker/distpicker.min.js"></script>
</body>
</html>
